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2022 Session

Budget Amendments - SB30 (Member Request)

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Chief Patron: Kiggans
Community-Based Behavioral Health Service Gap Innovation Grant Fund

Item 312 #12s

Item 312 #12s

First Year - FY2023 Second Year - FY2024
Health and Human Resources
Department of Behavioral Health and Developmental Services FY2023 $50,000,000 FY2024 $50,000,000 GF

Language
Page 354, line 29, strike "$76,272,531" and insert "$126,272,531".
Page 354, line 29, strike "$80,881,947" and insert "$130,881,947".

Page 357, after line 9, insert:

"Q.1. Out of the appropriation, $50,000,000 the first year and $50,000,000 the second year from the general fund shall be provided to the Department of Behavioral Health and Developmental Services (DBHDS) for the Community-Based Behavioral Health Service Gap Innovation Grant Fund.  This fund will enable behavioral health programs to be delivered to adults, adolescents and/or children with a diagnosis of serious mental illness (SMI), Serious Emotional Disturbance (SED) and/or substance use disorder (SUD) who are either Medicaid members or are uninsured/underinsured. This grant shall only fund programs that are not otherwise available through the current continuum of community-based Medicaid services or other existing behavioral health programs. DBHDS shall administer this competitive grant program.  Any public- and/or private-sector provider licensed to operate in Virginia shall be eligible to be considered for this grant.

2. Priority areas for this grant program shall include: (i) Programs that focus on preventing inpatient treatment/hospitalization and/or support individuals discharging from inpatient treatment/hospitalization; (ii) Early intervention/prevention independent living programs; (iii) Services for adults, youth or adolescents that address the traumatic nature of the COVID-19 pandemic, particularly for individuals who have experienced disproportionate impact such as losing a loved one to COVID-19, losing a job, livelihood, social isolation and/or loneliness, or home due to COVID- 19, or otherwise experiencing a traumatic reaction (including grief) to the pandemic and associated stressors related to the Social Determinants Of Health (SDOH); (iv) Early intervention/prevention programs that can be offered in the school environment and in these cases, proposals must be submitted by a provider with a school/school division/pre-school/early childhood education partner(s); (v) Programs that incorporate the use of Peer Recovery Specialists in the delivery of services that are not otherwise available through the current continuum of community-based Medicaid services; and (vi) Other innovative programs that can demonstrate a gap or need in the current service continuum and a program that can meet that need with a strong focus on programs that are well supported, evidence-informed or evidence-based, consistent with the Families First Act.

3. Funding may be used for start-up costs as well as direct care. Services funded by this grant program may be provided virtually or in-person. Grant funds may not be used to replace Medicaid or CSA-funded services unless the funder (MCO and/or CSA) deems the client ineligible for such services. Grants shall be awarded on an annual basis with the opportunity to extend the program.

4. The initial grants shall be awarded by no later than September 1, 2022, with an initial report to be provided to the Chairs of the House Appropriations and Senate Appropriations and Finance Committees and Secretary of Health and Human Resources by December 1, 2022."



Explanation

(This amendment provides $50 million each year from the general fund for grants to enable adults, adolescents and/or children with a diagnosis of serious mental illness (SMI), Serious Emotional Disturbance (SED) and/or substance use disorder (SUD) who are either Medicaid members or are uninsured/underinsured are able to receive the behavioral health supports they need that are not otherwise available to them through the current continuum of community-based Medicaid services.)